Individual
GLORIA A RADOSLOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
10052 COORS BLVD NW, ALBUQUERQUE, NM 87114-4020
(505) 459-0025
(505) 899-8372
Mailing address
PO BOX 66255, ALBUQUERQUE, NM 87193-6255
(505) 459-0025
(505) 899-8372
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CCMH128061
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0128061
NM STATE LICENSE
NM
Enumeration date
03/02/2012
Last updated
11/11/2022
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